what do i do if in case i rearrange my names?
example if my name is
SURNAME: TERA
MIDDLE NAME: PICO
FIRST NAME: PAUL
so PAUL PICO TERA appears on all my medical school transcript
but in my passport i have PICO instead of TERA as surname
so in my passport: PAUL TERA PICO

would this have any problem in my usmle registration since i still have the 3 names? please help! what do i do?

what do i do if in case i rearrange my names?
example if my name is
SURNAME: TERA
MIDDLE NAME: PICO
FIRST NAME: PAUL
so PAUL PICO TERA appears on all my medical school transcript
but in my passport i have PICO instead of TERA as surname
so in my passport: PAUL TERA PICO

would this have any problem in my usmle registration since i still have the 3 names? please help! what do i do?

This is wat the ECFMG says about the Name Discrepany issue:

"Changing or Verifying Your Name
If you have legally changed your name and want to request a change of name in your ECFMG record, send a completed Request to Change Applicant Biographic Information (Form 182) to ECFMG. Form 182 is available on the Publications page of the ECFMG website and from ECFMG, upon request. Form 182 requires you to provide an explanation of the reason for the name change and must be accompanied by a photocopy of the appropriate document(s), as defined on Form 182. ECFMG must be able to determine from the document(s) you submit that your name has legally changed from the name currently in your ECFMG record to the name you are requesting to appear in your record. This means that it may be necessary for you to submit more than one document to support your name change request. For the purpose of changing your name, the document(s) you provide must be unexpired (if applicable). These documents may include:

Passport (including the pages with your photograph and the expiration date)
Birth certificate
Marriage certificate
Official court order
U.S. Resident Alien Card
U.S. Naturalization Certificate
Attestations and affidavits are not acceptable as documentation to change or verify your name.

Please do not submit an original document; a photocopy of the document is sufficient.

If the name in your ECFMG record is correct but this name does not match exactly your name as listed on your medical diploma, transcript, or other credential, you must verify that the name on these documents is (or was) your name. To verify your name, send to ECFMG a photocopy of one of the documents listed above that verifies the name on your medical diploma, transcript, or other credential.

As an alternative to one of the documents listed above, ECFMG will accept for purposes of verifying your name a letter from the Dean, Vice Dean, or Registrar of your medical school that verifies that the name on your medical diploma, transcript, or other credential is (or was) your name. If you choose to submit a letter from your medical school to verify the name on your medical diploma, transcript, or other credential, the letter must be signed by the Dean, Vice Dean, or Registrar. The letter you submit must be written on your medical school's letterhead. The letter must include the following statement:

This certifies that the names [name on document] and [name in ECFMG record] belong to one and the same person.
The document(s) you send must show your name exactly as it appears on your medical diploma/transcript.

All documents submitted to change or verify your name that are not in English must be accompanied by an official English translation that meets ECFMG's translation requirements; see English Translations.

All documents submitted to change or verify your name, including translations, will become a part of your permanent ECFMG record and will not be returned to you. "